A case study, resulting from a naturalistic inquiry, describes the inpatient occupational therapy experience of an adult woman with an eating disorder. The details that emerged as the study unfolded through observation and interview allowed the inquirer, as well as the respondent, to make sense of the respondent's illness and the benefits of occupational therapy to her health while a patient, and following her discharge. The patient elaborated about the importance of her relationship with her occupational therapist, and provided details about task and process groups that demonsirate the efficacy of these groups to the positive outcome of hcr trcatment.